IMAGING MIRACLES LC (NPI# 1114231305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114231305 |
| Entity Type | Organization |
| Organization Name | IMAGING MIRACLES LC |
| Other Organization Name | ADVANCED ULTRASOUND SOLUTIONS |
| Practice Address |
3827 S Timbercreek Ave Suite B Springfield MO 65807-5685 |
| Practice Telephone | 4178610071 |
| Mailing Telephone | 4178610071 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2014-06-30 |
| Authorized Official Name | MRS. TAMMY ROSE COWAN (OWNER) |
| Authorized Official Telephone | 4178610071 |
| Authorized Official Credential | RDMS, RDCS |
| Is Organization Subpart | Y |
| Parent Organization Name | 20100328 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | LC1048492 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Ultrasound Solutions | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Imaging Miracles LC | 3827 South Timbercreek Ave, Springfield, Missouri 65807 |
| Street Address |
3827 S TIMBERCREEK AVE SUITE B |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046700 | Guan Yuan Pllc | Clinic/Center | 7008 Catlett St, Springfield, VA 22151-3901 | 2020-09-02 |
| 1194344713 | Snooze Laboratories, Inc | Clinic/Center | 122 Chestnut St Apt 101, Springfield, MA 01103-1541 | 2020-04-14 |
| 1922414846 | Planned Parenthood of Illinois | Clinic/Center | 1000 E. Washington St., Springfield, IL 62703-1048 | 2014-07-11 |
| 1841537966 | Village Family Medicine, LLC | Clinic/Center | 31330 Highway 22, Suite 101, Springfield, LA 70462-7427 | 2013-01-09 |
| 1770868457 | Walgreens Pharmacy #12427 | Clinic/Center | 2305 W Monroe, Springfield, IL 62704 | 2011-10-13 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1356643498 | Medical Necessities Inc | Clinic/Center | 205 5th Ave E, Springfield, TN 37172-2435 | 2010-11-22 |
| 1003124587 | James M. Carmichael, Dc PC | Clinic/Center | 3108 S Fremont Ave, Springfield, MO 65804-4211 | 2010-09-19 |
| 1174793855 | American Current Care of Massachusetts PC | Clinic/Center | 140 Carando Road, Springfield, MA 01104-3296 | 2008-03-10 |
| 1366634859 | Aids Project of The Ozarks | Clinic/Center | 1636 So. Glenstone, Ste. 100, Springfield, MO 65804-6580 | 2007-08-17 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.